MEDICARE: DR. AFREEN HUSAIN MOONDA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	093346	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437383551
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AFREEN HUSAIN MOONDA M.D.

Provider Business Mailing Address
First Line	:	PO BOX 1295
Second Line	:
City	:	BLUEFIELD
State	:	WV
Zip	:	24701-1295
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4000 JOHNSON RD
Second Line	:
City	:	STEUBENVILLE
State	:	OH
Zip	:	43952-2364
Country	:	US
Telephone Number	:	740-264-8000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2009
Last Update Date	:	02/09/2026

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